RF-09-22-2337 Inspection Affidavit 1202 NE 93 StRE: Permit # RF-09-22-2337
Ulrick Alfred
(Print name and circle license Type)
License#: CCC1333104
7
1;1 iami pores Village
Building Department
INS-PE-C ¢ ION AFFQAVF
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: 0; - -2-7 —2 vZ -',,
licensed as a (n) Contractor / Engineer / Architect,
FS 468 Building Inspector
On or about 1-31-2023 , I did personally inspect the roof deck nailing
(Date & time)
work at 1202 NE 93rd STREEET MIAMI SHORES, FL. 33138
(Complete Job Site Address)
Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on 553.844 F.S)
616 Ir-eer./I
Signature
-State of Florida
County of Dade:
The undersigned, being the first duq.sworn, deposes and says that he/she is the contractor for the above property
mentioned.
111
A.,
Sworn to and subscribed before me this day of �-GZ3
Notary Public, Sate of Florida at Large �- / o�'"r°if'�: NotaLOPS M. ate o Florida
= Commission # HH 165392
'oFA My Commission Expires
October 11, 2025
'General, Building, Residential, or Roofing Contractors or any individual cerliffed under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with
permit# and address # dearly shown marked on the deck for each inspeclion
ca,a�ed nn r-n+nnntnuiwonno